The typical physician office visit costs for Medicare beneficiaries in this area are: $32.26 for a new patient copayment and $17.46 for an established patient copayment. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.7, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. According to Medicare claims data she has hospital affiliations with University Of Alabama Hospital. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. #Akila subramaniam full#The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.Īkila Subramaniam is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.Akila Subramaniam is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health care providers like Akila Subramaniam M.d., M.p.h. LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
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Now that the horse could no longer help him, the master realized that he would never be able to respect the pacts and finish the citadel in time odin’s steed. In vain the master mason tried to capture the stallion and only at dawn, exhausted, Svadhiìfari returned to his master. Svadhiìfari could not bear that torment for long: giving in to his instinct, he ripped the reins, ran away in the forest where he remained in his company all night and the following day. Moreover, the stallion’s nostrils were impregnated with that impalpable and indescribable odor that the sex of the mare spread all around. That mare was truly a vision! Her mane swayed gently, following the agile movements directed by stupendous muscles, a true masterpiece that seemed to have come out of the workshop of a sculptor inspired by the gods. The unmistakable equine call heralded the arrival of a graceful mare. That same evening, while he was carrying the heavy boulders, Svadhilfari heard a whinnying sound coming from the woods. Sleipnir’s birth So Loki, taken by great fear, turned into a mare and seduced the mighty other horse. Seeing no other solution, the Asi left Loki free, threatening him with death if his plan was not successful. With difficulty, Loki managed to convince the gods that, despite everything, nothing was still lost: with his art of deception he would have prevented the craftsman from completing the work. So Three days before the winter was over, when the only thing missing was the door to the entire construction, the gods in panic for the imminent transfer of Freyja, the sun and the moon, gathered in assembly to find a way to not pay the builder and blamed Loki for having agreed to the pact, and ordered him to find a solution immediately. When the six months of the winter seadrawing to a close, the work wed almost complete. Although accustomed to other feats of strength, Asi h was astonished to see all those boulders being carried effortlessly by Svadilfari: they feared that, with such help, the master could easily have respected and sync bookmarks what had been agreed upon.Īfter all, the pact had been made in front of witnesses and under the sacred bonds of an oath. Immediately the builder set to work on the first day of winter and the work, thanks to Svadilfari, proceeded with incredible speed with poetic edda.ĭuring the freezing winter nights, braving the rain and frost, exposing himself to extremely cold temperatures, the craftsman loaded large boulders on the back of his horse, which transported them to the fortress of Asgard.ĭuring the day, stone by stone, the craftsman would build granite walls, majestic and imposing as no one had ever seen them. Though the gods were uncertain, Loki assured them that the man wouldn’t win the bet even with the help of his horse and so Freyja, the sun and the moon would be spared, the pact, then was sealed with an oath. The craftsman replied that he would have done it as long as he could help himself with his horse Svadilfari. The gods, Loki’sthe adv, accepted, but on condition that the wall was finished by the summer. So a pact was made with the gods, if he completed the wall in 18 months, he would get the sun, the moon, and the goddess Freya as reward, but if he failed, he would get absolutely nothing. Great was the wonder and discomfort of the Asi, when they learned that the master required the beautiful Freya, pride of all Asgard, the sun, and the m, in exchange for his workoon. The gods, faced with such confidence, were speechless: none of them would ever have thought that a fortification could be built in such a short time.įascinated by the words of the builder and dreaming of a lasting peace protected by unbreakable walls, they asked him how he wanted to be compensated with prose edda. And, as if to magnify even more his ability, he said he could do the job in 3 seasons to produced sleipnir. It is said that, in those very days, a builder came to visit the gods and offered them the opportunity to encircle Asgard with a mighty wall that could withstand the attacks of the giants with tab groups. The Asi, had recently settled in the new land of Miðgarðr and had just built Valhalla the magnificent, enormous hall in Asgard the Odin’s horse involves Sleipnir rules overdin.Īt that time, Asgard had as its only defense against the attacks of the giants, its geographical position, the steep rocks and cliffs scattered all around, were a barrier difficult to overcome mouse gestures.īut, considered the incredible strength and wickedness of the giants of Jútunheim, the gods thought, for some time now, to fortify the divine citadel with thick walls, an indispensable obstacle to oppose the continuous threat of attack. 4 Shop Viking Jewelry The fortification of Asgard Resolution: 1080x1920 Big Ben Tower London Lockscreen iPhone 6 Plus HD Wallpaper … Resolution: 1080x1920 Konwalia, phone wallpaper, background, lock screen Resolution: 1080x1920 Green Leaf Dew HD Water Lockscreen Android Wallpaper … Resolution: 1080x1920 Iphone lock screen Wallpaper | iphone backgrounds | Iphone wallpaper | #92 Resolution: 1080x1920 Ha Ha Ha No Lockscreen iPhone 6+ HD Wallpaper … Resolution: 1080x1920 Love Desktop Lock Screen Samsung Galaxy S5 Wallpaper HD Resolution: 1080x1920 Background Metal apple lockscreen HD Wallpaper iPhone 6 plus Resolution: 1080x1920 Calm Sea Rocks Lockscreen iPhone 6 Plus HD Wallpaper … Resolution: 1080x1920 Grey Pebbles Lockscreen iPhone 6 Plus HD Wallpaper … Resolution: 1080x1920 Cool Lock Screen Wallpapers For PC, Android, Resolution: 1920x1080 City Night Lockscreen iPhone 6 Plus HD Wallpaper … Resolution: 1080x1920 lock screen wallpapers for iphone Resolution: 2160x3840 … Cool Lock Screen Wallpaper vault … Resolution: 2048x2048 Wide Screen … Resolution: 1080x1920 40 Best and Latest Samsung Galaxy HD wallpapers – Silky Designs Resolution: 1080x1920 Windows 10 Lock Screen Dump Resolution: 1920x1080 … lock screen hd free download hd gs close up android wallpapers free download … Resolution: 1080x1920 Cool Lock Screen Wallpapers For Pc, Android, Iphone throughout Wallpaper Lock Screen : Foto Nakal CO Resolution: 1437x2537 moving wallpapers for iphone latest Resolution: 2160x3840 60 Apple iPhone Wallpapers Free To Download For Apple Lovers. 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As you rapidly age, white hair and wrinkles start to show, but the consequences aren’t just cosmetic. Die for a fifth time, and you’ll be five years older the next time you return. However, the talisman’s catch comes into play: The age of the character increases the more times you die. The player’s job is to keep this vengeful martial artist alive while dealing out damage to their enemies. Naturally, the martial artist is determined to hunt down each of the fighters responsible for the attack, culminating in a showdown with Yang that will reveal the ringleader’s hidden motivation for murdering his former master. Most of Sifu’s action takes place eight years after these events when the child has grown into an accomplished, 20-year-old martial artist. Living beats dying any day, but the talisman comes with a catch: Every time it’s used to resurrect someone, the survivor will experience accelerated aging. When his former mentor refuses to comply, Yang orders one of his accomplices to kill the sifu’s child (à la Sub-Zero and Scorpion), but the child is revived with the aid of a magical talisman. The lead attacker, Yang, is a former student of the school, and he demands information from its sifu (“master” or “teacher” in Cantonese). Sifu is set in an unspecified Chinese city, where a group of five assassins assault a martial arts school and slaughter its students. Steeped in the tough love that fight master Pai Mei showed while training the Bride, it’s a relentless but rewarding game that for me, at least, transcends two sources of frustration and finds the sweet spot between quitting and catharsis. Sifu strips away Absolver’s Dark Souls–esque approach to building a versatile martial arts adventure character and replaces it with an unusual, not-really- roguelike structure. #SIFU KUNG FU UPGRADE#Sloclap’s sophomore outing is an upgrade in quality and mainstream appeal compared to the studio’s first title, the 2017 open-world online action RPG Absolver (which I also adored). But the visceral satisfaction of not just a victory, but a victory earned, is what will likely make Sifu one of my most memorable gaming experiences of the year. There were times when it brought on a level of vexation that made me worry about my blood pressure. #SIFU KUNG FU PC#There were plenty of times when I wanted to quit playing Sifu, the action beat-’em-up game by developer Sloclap that came out for PC and PlayStation platforms earlier this month. Proof of improvement can be proof of success. For me, discipline and dedication can sometimes come after knowing how good I felt after finally completing something for the first time. 2009 30(32):6403–6.īoivin G, Deloffre P, Perrat B, Panczer G, Boudeulle M, Mauras Y, et al. Silicon-substituted calcium phosphates – a critical view. Mechano-tribological properties and in vitro bioactivity of biphasic calcium phosphate coating on Ti-6Al-4V. 2020.īehera RR, Das A, Pamu D, Pandey LM, Sankar MR. Role of strontium substitution in spray drying of hydroxyapatite: a comparative study on physical properties. Deposition of crystalline hydroxyapatite nano-particle on zirconia ceramic: a potential solution for the poor bonding characteristic of zirconia ceramics to resin cement. Strontium doped hydroxyapatite biomimetic coatings on Ti6Al4V plates. Synthesis of nano-hydroxyapatite sorbent for microextraction in packed syringe of phthalate esters in water samples. Sr containing hydroxyapatite: morphologies of HA crystals and bioactivity on osteoblast cells. Biocompatibility and bioactivity of Sr-HA thin films deposited on titanium were confirmed in an interaction with dental pulp stem cells, suggesting that these coatings, regardless of the processing temperature, may be viable candidates for the surface components of metallic bone implants.Īina V, Bergandi L, Lusvardi G, Malavasi G, Imrie FE, Gibson IR, et al. As the film deposition temperature increased, the lattice voids got reduced in concentration and the structure gradually “closed,” becoming more compact and entailing a linear increase in microhardness with temperature, by 0.03 GPa/☌ for the entire 25–500 ☌ range. Despite the mostly amorphous structure of the coatings, their affinity for capturing atmospheric carbon dioxide and accommodating it as carbonate ions that replace both phosphates and hydroxyls of HA was confirmed in an X-ray photoelectron spectroscopic analysis. Particle edges became somewhat sharper and surface roughness moderately increased with temperature, but the (Ca+Sr)/P atomic ratio, which increased 1.5 times during the film formation, remained approximately constant at different temperatures. Highly crystalline Sr-HA target transformed during pulsed laser deposition to a fully amorphous film, whose degree of long-range order recovered with temperature. The films were 1–2 μm in thickness and their formation was studied at different temperatures, including 25, 300, and 500 ☌. The method is based on the combination of a mechanochemical synthesis of Sr-HA targets and their deposition in form of thin films on top of titanium with the use of laser ablation at low pressure. A new method for producing thin strontium-containing hydroxyapatite (Sr-HA, Ca 9Sr(PO 4) 6(OH) 2) films as coatings that render bioinert titanium implant bioactive is reported here. 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These chargers do an adequate job of returning power to a battery but they rarely provide a complete charge which lead-acid batteries need to remain healthy.Ģ) More modern ‘converter-chargers’ exist to improve battery longevity. In the case of this equipment, most will be damaged by ‘automotive 12v’ range of voltages.ġ) Most commonly, (older style) fixed voltage ‘converters’ produce 13.8V so that they can both power ‘automotive 12V’ appliances and charge the battery. ‘Regulated 12V’ equipment is designed to operate from a wall transformer or computer power supply that is NOT subject to battery charging voltages. The reason is, when systems containing ’12v batteries’ are charged, the system is subject to voltages up to 14.4V. ‘Automotive 12V’, which is most of what is in RV’s is designed to operate, ranges between 11.5V to 14.5V. While a battery charger only has one function: to charge your batteries.Ī bit too simplistic and the distinctions are important.įirstly, it is important to note that there are two classes of low voltage DC power systems. Simply, an RV converter is also a battery charger but with added capabilities. The two terms are used interchangeably because for the most part, in modern RVs, an RV converter charges your batteries and converts shore power to usable 12v DC power. So, What’s the Difference Between an RV Converter VS Battery Charger? Solar-powered – Solar-power RV battery chargers recharge your RV batteries using sunlight.An inverter charger produces 120v AC power from a 12v battery when there’s no shore power. This device is very similar to a converter charger, it has the same features, but with one difference. Inverter charger – An inverter charger is what’s in most modern RVs.In addition to converting 120v to 12v, a converter charger also charges your RV batteries. And no, you aren’t reading this wrong, a converter charger is what we discussed above. Converter charger – This is a basic type of battery charger.There are different types of battery chargers. A distribution panel converter can charge your batteries and power appliances.Īn RV battery charger is simply that – it charges your RV batteries. Distribution panel – This type of converter is perfect if your older RV is in need of an upgrade.Deck mount – A deck mount converter can be installed on the deck of your RV.High output – If you have multuple batteries that need to be charged or larger applicances running off your DC power, then a high output converter might be for you.Multi-stage – A multi-stage converter charges your batteries, keeps them at a consistent level, and shuts them off when they have reached an optimum level of charge.There are different types of converters out there. This reduces the drain on your RV batteries and lowers the risk of damaging them. An RV converter will recharge your batteries when you hooked back up to shore power. If you don’t have a converter (they’re standard in newer RVs), then your RV batteries will supply the power to all your 12-volt accessories. When you plug your RV into shore power or another standard electrical source, the RV converter reduces that 120v AC power down into 12v DC power. This set up seems to work great so thinking of removing the existing rv charger/converter and installing the IP22 in old converter hole in electrical/power panel spot.An RV converter is responsible for converting 120v AC power into 12v DC power. WE HAVE the RV converter off so 12 v runs on battery only even when on shore/generator where the IP22 charger is used and set to 30 amp charge. The victron IP22 110v charger can charge lithium 30 amp or 15 amp selectable and also has a setting for converter or charger mode, right now I use as 110 ac charging lith.ion battery when on shore/generator when we need to boost the battery due to insufficient solar to use ratio. Hi all, newbe with a question on using a victron IP22 110v smart charger as or inplace of my RV converter in newer RV ?įirst we have 400 watts of roof solar, 100/30 victron MPPT charger, victron battery minder for low temp shut down and a 200AMP chin lithium with a 2200 watt inverter. Marge's observation is brilliantly astute, but also disturbing, in that she seems to be mourning for more than Sassy's long-deceased Simpsons counterpart. As such, it was always inevitable that The Simpsons would have their say on it eventually. The world took Sassy's battle with that infernal branch to their hearts, and the image of the suspended cat became one of the ultimate cliches of motivational paraphernalia, a classic artifact of 1970s kitsch. Naturally, a slew of rip-offs featuring cats in similar poses, and with the same tagline, were rapidly ushered into being, although Baldwin was extremely vigilant against unauthorised use of the original Sassy image and brought successful copyright infringement cases against any and all bootleggers he happened across. The image struck a chord with the public, and attracted such an enthusiastic reaction that Baldwin decided to market it as a poster with the revised caption, "Hang in there, baby!" It proved such a hot seller that for a time Baldwin was able to put his photography career on hiatus and live solely off the profits generated by Sassy's likeness. The black and white image showed Siamese kitten Sassy (given the name Wiki in the book) hanging onto a bamboo branch with her forepaws, with the caption "Chin up". I took a gander and the cheapest one was listed for over £750 - about $980). (Incidentally, if you're thinking of scurrying over to Abebooks and bagging a copy.best of luck, baby. The original "Hang In There, Baby" poster was the creation of Los Angeles-based photographer Victor Baldwin, and was originally featured as an illustration in a children's book, The Outcast Kitten, which was written by Baldwin and his then-wife Jeanne and published in 1970. Marge's poster has a real-life counterpart - throughout the 1970s, images of cats clinging on for dear life were plastered all over homes and offices with the intention of spurring humans on through their day-to-day troubles, although the earliest specimen dates back to 1971, not 1968. And what could be more disturbing than a dead cat peeking at us from beyond the grave, reminding us of that all is lost? And you thought Pet Sematary was a bit unsettling. A fundamental component of hauntology is the notion that the future we once anticipated has failed us and that we are left with a shattered timeline, compelled to look ever backwards to the past for solace as all of our unresolved anxieties continue to stare us in the face, the past, the present and the cancelled future converging in a chaotic mishmash of omnipresent disturbance. This features a cat hanging from a washing line, with the slogan, "Hang In There, Baby!" Marge takes momentary comfort in this kitschy image, only for her bolstered spirits to be immediately ruptured when her eyes wander down to the smaller print: "Copyright termined or not, that cat must be long dead. At one point, when her spirits are feeling particularly dampened, she looks to a motivational poster affixed to the wall of her makeshift office. The idiom hang in there is an informal and friendly way to tell someone to keep trying.One of the most inspired examples of a character confronting a haunted image in The Simpsons occurs in the Season 8 episode, "The Twisted World of Marge Simpson" (original air date January 19th 1997), in which Marge attempts to set up her own pretzel business and encounters setback after setback. Please hang in there just a bit longer,” said Friedberg.
Most of the mods I've played and it seems true in this module too, the best way of making money has always been raiding. You can't do both at once.Ĭlearly i'm doing something wrong then, how "good" do relations need to be?Īs for the whole ruling thing. Or, you can swim in gold and inspire elite cutthroats with the promise of plunder. You can have 90+ relations with both religions, and be loved by most lords and all commoners. If you want to unite the map under your rule, you should really worry about how you are perceived. I enjoyed them both, but they have very, very little in common. Sure they slaughter anyone, but so do my Tier IV, and they have not 1000 coins sunk into each.Īs for raiding, don t you think that it is not quite compatible with ruling wisely over a peaceful kingdom? I have played a kind, benevolent lord, and I have played a ruthless raider. Tier V are nice, but I have about 300 stashed, and even at 1/4 wages, I wonder whether I should not just disband them. #Danish longphort tips upgradePersonally, I am not sure how wise it is to upgrade them, though. When your spear and shield wall holds and your swordsmen strike the engaged enemy in the back, you will see your troops level quite fast. They are good enough to hold a shieldwall against anyone and anything. Good relations with cities will allow you to recruit Tier III swordsmen and spearmen. At least in native and most mods you only lost honour if you were acting on your own. If you could recruit masses of troops easily it would be a different story, but with the new restrictions on recruitment (Having to get permission from lords or elders) Its a pain, not only that, but it seems like even with a town that I have OK relations with (10 or more) I still usually only get 2-3 recruits, which is basically nothing with the norse culture, considering theres a total of like 8 cities / castles to recruit from.Īlso, as far as reputation and such goes, my first playthrough was spent instead of trading, sacking monastaries, i found it fun, and rewarding, problem is I ended up at war with half the map, and with virtually every settlement and village on the map at -30+ relation.Īlso, for a game thats supposed to be about vikings and raiding, the fact that most of the companions get mad at it, and the fact that you lose tons of reputation (even when at war as a vassal or as a merc for a faction) is insane. I for the life of me can't see how you're supposed to start a kingdom as it is right now. And with the lower tiers its just about impossible to take on the AI lords with 400 some units, 100 of which or more are top tier.Ĭurrently in my game im about 130 days in, have about 50 units, most of which are mercs, I have a Busse, and about 20k surplus cash, 2 enterprises, a fully upgraded refuge. I know they intended this, but am I missing something? I have yet to get a top tier unit. Rivers included in the Inland Electronic Navigation Chart (IENC) program include the Allegheny River, Arkansas River, Atchafalaya River, Black Warrior-Tombigbee Rivers, Cumberland River, Green River, Illinois River, Kaskaskia, Kanawha River, Lower Mississippi River, Missouri River, Monongahela River, Ohio River, Ouachita River, Red River, Tennessee River (including the Tellico, Hiwassee, Clinch and Emory Rivers), Tennessee-Tombigbee Waterway, Upper Mississippi River, and the White River. America’s inland waterways move millions of tons of commodities every year, and the work of surveying, charting, and dredging sediment is continually ongoing due to the dynamic conditions and constant change happening along any given river. The Inland Electronic Navigation Chart (IENC) program covers thousands of miles of navigable waterways. Army Corps of Engineers produces charts for America’s inland rivers through the Inland Electronic Navigation Chart program. The National Oceanic and Atmospheric Administration (NOAA) Office of Coast Survey produces charts for coastal and Great Lakes areas, and the U.S. Historically these charts have been printed and distributed on paper, but modern communications systems allow for electronic charts that are able to be updated as new information becomes available. referential integrity, simpler data access). Like all things, there are definite tradeoffs involved, but lots of SQL database systems are more than capable of storing flat files in 'BLOB columns' in tables which provides lots of obvious advantages (e.g. Nautical charts provide critical information to mariners in support of safe navigation. It's not true, in general, for all kinds of 'flat files', that they shouldn't (ever) be stored in a SQL database. |
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